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1609617935
KELLY JO WANDERSEE
TOLEDO, OH
NPI
1609617935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
KELLY JO WANDERSEE ccma,cna
541 MILTON ST APT 2
TOLEDO, OH 43605-2669
Phone number: 419-508-6822
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Mailing Address
KELLY JO WANDERSEE ccma,cna
2029 NEVADA ST
TOLEDO, OH 43605-2810
Phone number: 419-598-6822
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